Evidence map›Paper›PMID 39568121›Full record

ArticleActa obstetricia et gynecologica Scandinavica2025

Decreased expression of Syndecan- 1 (CD138) in the endometrium of adenomyosis patients suggests a potential pathogenetic role.

Walid Shaalan, Mohamed Gamal Ibrahim, Ariana Plasger, Nourhan Hassan, Ludwig Kiesel, Andreas N Schüring, Martin Götte

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Walid ShaalanDepartment of Gynecology and Obstetrics, Münster University Hospital, Münster, Germany.ORCID 0000-0002-2576-2269
Mohamed Gamal IbrahimDepartment of Gynecology and Obstetrics, Münster University Hospital, Münster, Germany.ORCID 0000-0001-6648-9281
Ariana PlasgerDepartment of Gynecology and Obstetrics, Münster University Hospital, Münster, Germany.
Nourhan HassanDepartment of Gynecology and Obstetrics, Münster University Hospital, Münster, Germany.ORCID 0000-0003-3189-8063
Ludwig KieselDepartment of Gynecology and Obstetrics, Münster University Hospital, Münster, Germany.ORCID 0000-0002-7247-9247
Andreas N SchüringDepartment of Gynecology and Obstetrics, Münster University Hospital, Münster, Germany.ORCID 0000-0001-8276-1484
Martin GötteDepartment of Gynecology and Obstetrics, Münster University Hospital, Münster, Germany.ORCID 0000-0003-2360-2496

Funding

Deutscher Akademischer Austausch Dienst Kairo Grant 91664677 (to N.H.)EU H2020-RISE project TRENDO # 101008193 (to M.G.)The Clinician-Scientist-Programme CareerS Starter CS-Starter-2023-27_Medical_Faculty_Münster
6 · The paper itself

Abstract

introductionAdenomyosis is a special subtype of endometriosis, affecting the myometrium, affecting about 20% of women in the reproductive age period. Clinical symptoms and intensity are diverse and can vary from heavy menstrual bleeding and dysmenorrhea to infertility and repeated pregnancy losses. Thus, patients often present with a long history of illness pending presumptive clinical or surgical diagnosis. A definitive diagnosis of adenomyosis is made upon histopathological examination verifying ectopic endometrial tissue (endometrial glands and/or stroma) within the myometrium, surrounded by hyperplastic and hypertrophic smooth muscles. However, nowadays ultrasonographic and/or MRI signs can precisely detect it as well. The precise etiology and pathogenesis remain unclear. One theory assumes that adenomyosis occurs through metaplastic transformation or migration of stem cell-like cells. MATERIAL AND

methodsOur study examined the immunohistochemical expression of the transmembrane proteoglycan Syndecan-1 (CD 138), a multifunctional matrix receptor and signaling co-receptor, in the endometrium of 35 patients (n = 21 with adenomyosis and n = 14 as a control group) in the period 2016-2017.

resultsAs a pilot study, we concluded that Syndecan-1 is downregulated in adenomyosis patients compared to the control group, supporting its potential role in the development of adenomyosis. Our study did not find a correlation between the immune-expression of Syndecan-1 and the menstrual cycle phase.

conclusionsFor clinical significance in relation to our results, the investigated data showed that the downregulation of Syndecan-1 in adenomyotic patients in our study may suggest a role in promoting the invasiveness of endometriotic islands within the myometrium. However, further studies are still needed to understand the mechanistic contribution of Syndecan-1 to the pathogenesis of adenomyosis.

Indexed as

AdenomyosisEndometriumSyndecan-1AdultCase-Control StudiesDown-RegulationFemaleHumansImmunohistochemistryMiddle AgedPilot ProjectsSDC1 protein, humanSyndecan-1adenomyosiscycle phaseendometriumimmunohistochemistryproteoglycansSyndecan‐1

Identifiers

PMID39568121
PMCPMC11683534

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.